WILAWAN WATEWAI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033284

License Status

EXPIRED

Business

First Name

WILAWAN

Last Name

WATEWAI

Business Name

WILAWAN WATEWAI

Original Issue Date

06/12/1995

Effective Date

06/12/1995

Expiration Date

06/26/1998

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006